The real importance of learning radiographic signs associated with specific disease is of relevance to clinical examination of the head & neck ; at the same time aiding in differentiating – what is normal from abnormal & hence appropriate treatment can be instituted for such conditions /abnormalities.

Here are the list of few radiographic appearances .

Cotton wool appearance seen on the lateral skull in Paget’s disease
  • Antral halo appearance-acute sinusitis
  • Ball in hand appearance-sialographic appearance of intrinsic benign tumor
  • Balloon like appearance-follicular cyst
  • Beaten silver/Copper beaten appearance-Crouzen syndrome,hypophosphatasia,craniofacial dysostosis ,obstructive hydrocephalus
  • Bush in winter appearance-normal sialographic appearance of submandibular gland
  • Candlestick appearance-Progressive systemic sclerosis,pycnodysostosis
  • Cherry blossom/branchless fruit laden tree/snowstorm/punctate sialectasis-sialographic appearance of Sjogren’s syndrome
  • Codman’s triangle-osteogenic sarcoma,Ewing sarcoma,carcinoma of alveolar ridge
  • Cotton wool appearance-paget’s disease,fibrous dysplasia(thick,amorphous radiopaque stage),cemmento-osseous dysplasia,chronic diffuse sclerosis osteomyelitis
  • Crew cut/Hair-on-end appearance-sickle cell anemia,thalassemia
  • Driven snow appearance-calcifying epithelial odontogenic tumor /cyst(Pindborg tumor)
  • Downward bowing appearance-cemento-osseous fibroma,ameloblastoma
  • Ely’s cyst-osteoarthritis
  • Filling defect appearance-salivary gland tumor
  • Floating tooth appearance-squamous cell carcinoma,malignant lymphoma,periodontitis ,eosinophilic granuloma,osteomyelitis

đź–‹Manisha M.A

Sources:White and Pharoah’s -Oral radiology textbook,Shafer’s textbook of oral pathology (8th edition),,Article-Phore S,Panchal RS,Bhagla P, Nabi N.Dental radiographic signs.Indian j health sci 2015;8:85-90.

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